PTA Request Form

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Please ensure this request has been discussed with School Administration before you submit.

Failure to do so may delay presentation to the PTA Board or lead to denied funding.

*Has this request been discussed with School Adminstration?

Yes

*Requestor Name

*Requestor Email Address

How will the request be paid?

Personal Reimbursement

District PO

Check to Vendor

Let PTA Decide

*How will this impact staff or students?

*Please provide specific details or descriptions of the item(s) needed (Name, Model #, etc.)

*TOTAL Amount Requested

*Does the requested amount include tax?

Yes

N/A

*Does the request amount include shipping?

Yes

N/A

*Date Needed By (decisions cannot be guaranteed until the next PTA meeting is held):

*Has the request item(s) already been purchased?

Yes

Where can this item be purchased?

Address

Other relevant information

If you have any other documentation you feel should accompany your request, please submit it to the REQUESTS mailbox for the PTA located in the workroom near the window. Thank you!

Canyon Rim Elementary PTA

Contact Us

3045 S. Canyon Rim

Mesa, AZ 85212

480-984-3216

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